Instrumentation for microendoscopic surgery comprises a retractor system including a navigated initial probe, nested retractors and a navigated final tubular retractor defining an interior passage extending between a proximal end and a distal working end. A multi-planar navigation marker including a plurality of spaced-apart, radiopaque marker bodies can be mounted to the tubular retractor at a predetermined multi-planar spatial and rotational relation to the distal working end. The retractor can optionally include systems for fluid irrigation and suction with differential activation allows for the option of maintaining a dry surgical field or a submerged surgical field depending on the surgeon's preference during various portions of the procedure. The instrumentation can also include a camera for direct viewing and navigated burrs and/or navigated osteotomes, which allow the surgeon to use direct visualization and/or information from instrument localization on multi-planar images depending on surgeon facility resources.

The present disclosure teaches a novel medical device for osteotomy, capable of simultaneous aspiration, cauterization, image-acquisition, irrigation and tissue-protection, adapted for ear, nose and throat procedures, but available or other cavity surgeries.

An endoscopic vessel harvester includes a vessel keeper with a capture frame capturing a target vessel within a tunnel that has been dissected along the target vessel. A cutter member cuts and cauterizes side branches while the target vessel is slidably captured in the vessel keeper. A fixed supporting rod and a movable side rod engage the frame. The movable side rod has an opened position to admit the target vessel and has a closed position to slidably capture the target vessel. One of the fixed support rod or the movable side rod is comprised of a hollow cylinder open at the distal end and at the proximal end, and wherein the distal end of the hollow cylinder fluidically communicates with the tunnel through the capture frame. A suction tube connects to the proximal end of the hollow cylinder, allowing pooled fluid around the capture frame to be removed.

A system is disclosed for performing a surgical procedure on a patient. The osteotomy system includes an elongated introducer defining a lumen and including a window formed in an outer wall thereof that is in communication with the lumen. At least one medical instrument is configured for insertion into the patient through the elongated introducer such that the at least one medical instrument is positionable within the window. The window is configured to receive target tissue such that the target tissue extends into the lumen, whereby the elongated introducer shields collateral tissue from the at least one medical instrument to reduce any unintended effect on the collateral tissue during the surgical procedure.

An endoscope (1) having a suction channel and a suction connector in communication with said suction channel, and a working channel through which a liquid may pass. A valve for diverting the suction through the sampling device through a sample container is provided. The endoscope (1) further includes an actuator (7) for propelling the liquid through said working channel.

An endoscopic tool for facilitating injection of fluid into a submucosal layer of tissue includes a first cannula, a suction source, a fluid lumen, and a second cannula. The first cannula has a suction surface disposed at a distal end, and defines a suction lumen. The suction source is coupled to the first cannula and creates a negative pressure within the suction lumen. The second cannula is disposed in a fluid lumen separate from the suction lumen, is adapted to be coupled to a source of fluid, and carries a needle at a distal end thereof. The tool draws the mucosal layer via the suction, which enlarges the submucosal layer, and injects a fluid into the enlarged portion of the submucosal layer via the needle, thereby creating a raised portion of tissue around the injection site.

This disclosure relates generally to medical devices, systems, and methods for locating devices and/or anatomy during medical procedures. More particularly, in some embodiments, the disclosure relates to medical device and/or anatomy locating devices, access devices, and systems and methods thereof, for use during, e.g., gastrojejunostomy procedures. In an aspect, a medical device locator may include an elongate member (such as sheath or guidewire) having a proximal end, a distal end, a longitudinal axis, and a length extending along the longitudinal axis. A location device may be disposed along the length of the elongate member.

A lens assembly includes an adjustable lens assembly including a handle. A telescopic tube is inserted at one end of the handle. A threaded rod is disposed inside the handle at an end close to the telescopic tube. An end of the threaded rod away from the telescopic tube penetrates through an outer wall of the handle and is connected to a turn button. An end of the telescopic tube inside the handle is sleeved with a driven gear. A driving gear is embedded in a surface of the handle above the driven gear. The driving gear and the driven gear enable the telescopic tube to rotate, thereby adjusting a direction of an insertion head at one end. The threaded rod and the turn button enable the telescopic rod to move within the handle, thereby adjusting the insertion head at one end to stretch out or draw back.

An improved flexible endoscopic instrument to precisely and efficiently obtains samples of flat polyps and multiple polyps from a patient by debriding one or more polyps and retrieving the debrided polyps without having to alternate between using a separate cutting tool and a separate sample retrieving tool and may be used with an endoscope. In one aspect, the cutting tool is coupled to a flexible torque coil or torque rope that is configured to transfer rotational energy from a powered actuator through the length of the endoscope onto the cutting tool.

Surgical visualization systems and related methods are disclosed herein, e.g., for providing visualization during surgical procedures. Systems and methods herein can be used in a wide range of surgical procedures, including spinal surgeries such as minimally-invasive fusion or discectomy procedures. Systems and methods herein can include various features for enhancing end user experience, improving clinical outcomes, or reducing the invasiveness of a surgery. Exemplary features can include access port integration, hands-free operation, active and/or passive lens cleaning, adjustable camera depth, and many others.